Individual
LUCAS KEAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 8TH AVE NW, ABERDEEN, SD 57401-1865
(605) 226-2663
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 226-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0943
SD
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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